Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP in Prescott Valley, AZ

Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Prescott Valley, Arizona. Her current practice location is 3274 Bob Dr, Prescott Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 203-5414.

Lisa Mae Diane Graveline is licensed to practice in Arizona (license number RNP265685) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801559984.

Contact Information

	Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP
	3274 Bob Dr, Prescott Valley, AZ 86314-8640
	(928) 203-5414
	(866) 984-3891

Map and Direction

Provider's Profile

Full Name	Lisa Mae Diane Graveline
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	3274 Bob Dr, Prescott Valley, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801559984
Provider Enumeration Date: 10/15/2021
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 4082060058
Enrollment ID: I20231026003607

Medical Identifiers

Medical identifiers for Lisa Mae Diane Graveline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801559984	NPI	-	NPPES
RNP-265685	Other	AZ	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RNP265685 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa Mae Diane Graveline allows following entities to bill medicare on her behalf.

Entity Name	Spectrum Healthcare Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487635389 PECOS PAC ID: 3072411388 Enrollment ID: O20031223000698

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Mae Diane Graveline is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP 3274 Bob Dr, Prescott Valley, AZ 86314-8640 Ph: (928) 203-5414	Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP 3274 Bob Dr, Prescott Valley, AZ 86314-8640 Ph: (928) 203-5414

Reviews and Comments

Nurse Practitioner Nurses in Prescott Valley, AZ

Mrs. Holly Ann Allred, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6386 E Ashton Pl, Prescott Valley, AZ 86314 Phone: 928-533-3971
Reneallia Bennett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3075 N Windsong Dr Ste A, Prescott Valley, AZ 86314 Phone: 928-350-8780 Fax: 888-674-1228
Cheryl Anne Wagner, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7600 E Florentine Rd, Prescott Valley, AZ 86314 Phone: 928-772-1610
Laura Finkbeiner, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314 Phone: 605-685-3995
Kelly L Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7700 E Florentine Rd Ste 101, Prescott Valley, AZ 86314 Phone: 928-442-8710 Fax: 928-442-8742
Amy M Thein, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3345 N Windsong Dr, Prescott Valley, AZ 86314 Phone: 928-445-5211
Ms. Anita M Gilbert, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3100 N Glassford Hill Rd, Prescott Valley, AZ 86314 Phone: 928-777-7820 Fax: 928-777-7821

Lisa Mae Diane Graveline, PMHNP-BC, APRN-RNP - Medicare Nurse Practitioner in Prescott Valley, AZ